Department of Otolaryngology, Mount Sinai Medical Center, New York, New York, U.S.A.
Department of Ophthalmology, New York Eye and Ear Infirmary, New York, New York, U.S.A.
Laryngoscope. 2021 Feb;131(2):E420-E422. doi: 10.1002/lary.28871. Epub 2020 Aug 7.
The prevalence of residual epiphora following successful periocular surgery for facial nerve paralysis can be as high as 30% or more. The pathophysiology of residual epiphora is complex, but identification of the etiology is paramount because the therapeutic approach varies accordingly. Treatments range from medical management of systemic disease to botulinum toxin injections for conditions that arise from aberrant reinnervation to surgical procedures that bypass the lacrimal drainage system completely. We describe a case report and review the pathophysiology and management of residual epiphora to provide a treatment algorithm for clinical use by facial plastic and oculoplastic surgeons. Laryngoscope, 131:E420-E422, 2021.
面神经麻痹患者行眶周手术后仍有溢泪的发生率可高达 30%或更高。溢泪的病理生理学机制较为复杂，但病因的明确至关重要，因为治疗方法也会随之改变。治疗方法从治疗全身疾病的药物治疗到针对因异常神经再支配而出现的情况的肉毒毒素注射，再到完全绕过泪液引流系统的手术，不一而足。我们报告 1 例病例，并对溢泪的病理生理学和治疗进行了回顾，为面部整形和眼整形外科医生提供了临床应用的治疗方案。《喉镜》，131：E420-E422，2021。
